Open AccessLaparoscopic heminephrectomy in nonfunctioning right moiety of a horseshoe kidney: Technical challenges and method to deal with
Author(s) -
Shailesh Agrawal,
Saurabh Sudhir Chipde,
Pallavi Agrawal
Publication year - 2014
Publication title -
journal of natural science, biology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 30
eISSN - 2229-7707
pISSN - 0976-9668
DOI - 10.4103/0976-9668.136286
Subject(s) - horseshoe kidney , medicine , ureteropelvic junction , surgery , kidney , general surgery , urology , anatomy , urinary system , hydronephrosis
Laparoscopic heminephrectomy in patients with horseshoe kidney is technically challenging procedure and only few cases have been reported in the literature. Various approaches have been described for handling the isthmus. We report the management of a case of symptomatic nonfunctioning right moiety of a horseshoe kidney secondary to ureteropelvic junction (UPJ) obstruction using Ligasure™ for vessel sealing and division of isthmus. We discuss here the various challenges during laparoscopic heminephrectomy and ways and tricks to deal with.